NPI: 1326502188 · ELIZABETH, NJ 07201 · General Practice Dentistry · NPI assigned 01/25/2019
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 323 | $8K |
| 2021 | 1,231 | $55K |
| 2022 | 4,040 | $155K |
| 2023 | 3,089 | $119K |
| 2024 | 2,543 | $93K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D8670 | Periodic orthodontic treatment visit | 1,917 | 1,881 | $157K |
| D0330 | Panoramic radiographic image | 2,775 | 2,766 | $103K |
| D9310 | 5,184 | 5,172 | $93K | |
| D8660 | 803 | 799 | $68K | |
| D0251 | 84 | 84 | $2K | |
| D1120 | Prophylaxis - child | 70 | 70 | $2K |
| D1208 | Topical application of fluoride, excluding varnish | 97 | 97 | $2K |
| D0120 | Periodic oral evaluation - established patient | 84 | 84 | $2K |
| D0340 | 51 | 51 | $755.00 | |
| D0350 | 161 | 161 | $735.00 |